1 / 29

What we thought then….

Community Experience Ann l. Engelland, MD Harrison and Mamaroneck school districts Barnard college health service. What we thought then…. Run them around following head injury Awaken patient every two hours Shine bright light in eyes to check for ?? RTP often in same game

xanto
Download Presentation

What we thought then….

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Community ExperienceAnn l. Engelland, MDHarrison and Mamaroneck school districtsBarnard college health service

  2. What we thought then…. • Run them around following head injury • Awaken patient every two hours • Shine bright light in eyes to check for ?? • RTP often in same game (dings and bell ringers)

  3. What we think we know now… • Rest is mainstay • Sleep is therapy • Recognize photophobia • Sit out ‘til symptom-free

  4. This is about effecting change…

  5. Is it about creating a better helmet?

  6. “When eight-year-olds are hitting each other-in tackle practice—with roughly the same G-forces as college players, what’s badly needed is a paradigm shift, a universal up-draft in thinking.” “This is your brain on football” by Paul Solotaroff Rolling Stone Magazine, January 2013

  7. How do we do that?

  8. How to make policy changes NOT JUST POLICY CHANGE ala NYState Guidelines NOT JUST by inducement from the Attorney General IT’s about CHANGE BY RELATIONSHIPS, sometimes one at a time

  9. We can listen to Dr. AtulGawande and others

  10. My experience • 5 schools: • 4 public school districts • 1 college • Private practice • Policy-making in four settings • Book writingand blog • Twitter, Facebook • Google alerts

  11. Who needs education?

  12. How to reach the audience

  13. Ways to Teach • Faculty meetings • Staff in-services (health, athletics, guidance, social work, psych) • Correct errors diplomatically • Make it easy and use checklists

  14. SECONDARY HEALTH OFFICE CONCUSSION CHECKLIST Student:________________________ Grade:_______ Today’s Date:________ Date of Injury:_______________ Notified by:______________________ Description of injury:_______________________________________________ Current Sport:_____________ Counselor:___________________ Date: _____ Concussion package mailed/given & discussed with parent. _____ Add information on Database & PE alert list _____ Signed parental consent received _____ Email teachers/counselors alerting of concussion or head injury _____ Incident report if injury occurred on school property _____ Baseline/Prior Impact on file? If yes then have student re-test when symptom free Part C or consult School MD to determine when to Impact _____ Check medical chart for previous concussions: List Concussion Hx dates:_________________ _____ If medical note necessary for school attendance – then advise Counselor need for Concussion Team Meeting ______ Completed Part C returned – check w/ counselor to see how student is doing academically before sending School MD paperwork _____ Email School MD Post MTBI & medical paperwork & advise School MD of Information in Bold below & feedback from counselor/teachers RTL SECONDARY HEALTH OFFICE CONCUSSION CHECKLIST

  15. More ways to teach • Website development • School newsletter • Medical resources in community • Psychiatric and Neuropsych resources • Resource for the injured with guide to recovery

  16. Films to view and show • Head Games • The Smartest Team • Crash Reel • United States of Football ?

  17. What needs emphasizing • Non-sports injuries are prevalent

  18. What needs emphasizing • Prevention starts in pre-season

  19. What needs emphasizing • DON’T FORGET TO ASK ABOUT HISTORY

  20. What to emphasize • Exercise and Fitness, Team sports are important to a healthy childhood

  21. What needs emphasizing • Holistic and individualized approach to each injury is required

  22. What needs emphasizing • College level: no NCAA umbrella rules!

  23. What NOT to emphasize • New helmets, bells and whistles • Different equipment • ImPACT testing unless very experienced • Long term disability risk ? • Beware of snake oil salespeople

  24. “Now promise me you will all be very careful.”

  25. Ann Engelland, MD It’s All in Your Head:Everyone’s Guide to managing Concussions

More Related